FARISA SURATTANONT MULVEY

PROVIDENCE, RI
NPI1275583874
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: RI  2834)
Enumeration Date2006-05-12
Last Update Date2007-07-09
Business Address
Dr. FARISA SURATTANONT MULVEY D.D.S.
148 WATERMAN ST
PROVIDENCE, RI 02906-2130
Phone number: 401-272-3443
Mailing Address
Dr. FARISA SURATTANONT MULVEY D.D.S.
148 WATERMAN ST P.O. BOX 2608
PROVIDENCE, RI 02906-2130
Phone number: 401-272-3443